This trust offers the following services:

• Acute services:
• On-site bowel stenting facilities

• Diagnostic and pre-operative services:
• On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
• Routine Genetic Testing for Lynch Syndrome

• Advanced disease services:
• Dedicated Specialist Advanced Nurse
• Dedicated Specialist Advanced MDT
• Dedicated Specialist Advanced Outpatient Clinic

• Support service facilities:
• Dedicated nurses for ERAS services
• Availability of 24 hour palliative care advice

All Patients:	Trust	Network	National
Number of patients in Audit	295	2347	38604
Data completeness of:
– Completed stage 1-4 (%)	95	81	82
– Performance status (%)	94	64	74

Patients having major resection:	Trust	Network	National
Number of patients in Audit	151	1426	21702
Performance status 0 (%)	57	39	50
Performance status 1 (%)	28	21	22
Performance status 2 (%)	12	6	5
Performance status 3 (%)	2	1	1
Performance status 4 or not recorded (%)	1	33	21
Data completeness of:
7 Audit items for risk-adjustment (%)	87	54	87

All Patients:	Trust	Network	National
Number of patients in Audit	295	2347	38604
Clinical Nurse Specialist (CNS) information recorded (%)	85	63	65
Seen by CNS if CNS record present (%)	98	94	94

Patients having major resection:	Trust	Network	National
Number of patients in Audit	151	1426	21702
Distant metastases (%)	9	6	7
Emergency surgery (%)	13	13	13
At least 12 lymph nodes excised (%)	57	54	53
Laparoscopic surgery attempted (%)	81	77	65
Risk-adjusted length of stay > 5 days (%)	48	46	59

Patients having major resection for stage III colon cancer:	Trust	Network	National
Number of patients in audit	62	738	12052
Adjuvant chemotherapy (%)	82	68	66

Patients having major resection:	Trust	Network	National
Neoadjuvant therapy (%)	33	24	34
Rectal volume	34	327	4753

Patients in APER/Hartmanns estimate:	Trust	Network	National
Number of patients in APER/Hartmanns estimate	154	1626	23317
APER/Hartmanns (%)	32	38	35